无症状希腊本土与移民人群的X线胸片检查和结核病人发现
Chest radiography and tuberculosis case-finding in asymptomatic native and immigrant populations in Greece
摘要
背景:希腊南部的一家大学医院。目的:对无症状的希腊人及外来移民进行常规胸部X 线检查,以确定结核病的患病率及其它有临床意义的疾病。设计:前瞻性研究。方法:共对4338名无症状者(56.8%为希腊人,43.2%为移民,年龄范围为 18-74 岁)进行胸部 X 线摄片,由两位有经验的胸部 X 线专家独立阅读,记录异常发现。经讨论建立最后的放射线学诊断。对所获结果进行统计学分析。结果:绝大多数(94.7%)胸部 X 线片的报告正常,发现 4 例(0.08%)有临床意义。无一例有活动性结核病描述。移民的陈旧性肺结核发生率高于希腊出生者,但无统计学意义。结论:希腊出生组的低结核病患病率提示无需进行放射学筛选,该项检查可免去。本研究未发现外来移民中结核病率高于希腊本地居民,此发现需经更大范围的前瞻性研究加以证实。
出处
《结核与肺部疾病杂志》
2005年第4期133-136,共4页
Journal of Tuberculosis and Lung Disease
参考文献10
-
1Lillebaek T,Andersen A B,Dirksen A,Smith E,Skovgaard L T,Kok-Jensen A.Persistent high incidence of tuberculosis in immigrants in a low-incidence country[].Emerging Infectious Diseases.2002
-
2Blum R N,Polish L B,Tapy J M,Catlin B J,Cohn D L.Results of screening for tuberculosis in foreign-born persons applying for adjustment of immigration status[].Chest.1993
-
3Sebro K,Rolle S,Gray S,et al.Are routine chest X-rays for students entering university worthwhile[].Journal of Quality in Clinical Practice.2001
-
4Sutton D.Textbook of radiology and imaging[]..2002
-
5Marciniuk D D,McNab B D,Martin W T,Hoeppner V H.Detection of pulmonary tuberculosis in patient with a normal chest radiograph[].Chest.1999
-
6Graham S,Das G K,Hidvegi R J,et al.Chest radiograph abnormalities associated with tuberculosis: reproducibility and yield of active cases[].International Journal of Tuberculosis and Lung Disease.2002
-
7Wilcke J T,Kok-Jensen A.Diagnostic strategy for pulmonary tuberculosis in a low-incidence country: results of chest X-ray and sputum culture for Mycobacterium tuberculosis[].Respiratory Medicine.1997
-
8Dye C,Scheele S,Dolin P,Pathania V,Raviglione M C.Consensus statement.Global burden of tuberculosis: estimated incidence, prevalence and mortality by country. WHO Global Surveillance and Monitoring Project[].The Journal of The American Medical Association.1999
-
9Reeves S A,Noble R C.Ineffectiveness of annual chest roento-grams in tuberculin skin test-positive hospital employees[].American Journal of Infection Control.1983
-
10Kubin M,Prikazsky V,Havelkova M,et al.Present state of tuberculosis in the Czech Republic and in central European and Baltic countries[].Central European Journal of Public Health.1999
-
1武莉莉,王健.老年人社区获得性肺炎的临床特点及误诊情况分析[J].临床和实验医学杂志,2011,10(4):268-269. 被引量：31
-
2程时秀.腰椎结核误诊1例分析[J].中国误诊学杂志,2011,11(6):1471-1471.
-
3金钰明.甲状腺功能减退性心脏病25例临床分析[J].医师进修杂志,2003,26(11):43-43. 被引量：3
-
4白玉云.痰热清联合头孢呋辛钠治疗老年肺气肿感染患者的临床分析[J].世界最新医学信息文摘,2014,14(25):40-41.
-
5王楼生,张安成.肺栓塞诊断方法的临床评价[J].安徽医科大学学报,1990,25(3):234-238.
-
6郑广阳,林燕,彭贇.AECOPD合并自发性气胸24例的临床诊治体会[J].临床肺科杂志,2010,15(4):535-536. 被引量：1
-
7周云泵.支气管结核与肺结核60例临床分析[J].中国医师进修杂志,2009,32(10):72-73.
-
8黄谦.住院哮喘患者常规胸部X线检查的临床意义[J].海南医学,2002,13(9):50-51.
-
9赵小玲,丁彦,程瑞年,钱浦,刘秀洁,郭靖涛.急性心肌梗塞早期白细胞升高与左心室功能的关系[J].实用心脑肺血管病杂志,1994,2(2):88-89.
-
10肖伟,李昊.反复发作的自发性气胸的诊治[J].医师进修杂志,2004,27(5):9-10. 被引量：2
